When Emergency Patients Die by Suicide: The Experience of Prehospital Health Professionals.

作者: Ines A. Rothes , Isabel C. Nogueira , Ana P. Coutinho da Silva , Margarida R. Henriques

DOI: 10.3389/FPSYG.2020.02036

关键词: Professional practiceNursingCompetence (human resources)NarrativeHealth professionalsFeelingPerceptionPsychologyProfessional developmentLiability

摘要: The suicide of a patient can be disturbing experience for health professionals. According to literature, is professional hazard in the path prehospital emergency In context several factors pointed out literature as predictors increased emotional impact and more severe traumatic reactions are present. However, on professionals still an understudied subject. aim this study was better understand facing suicide, using qualitative approach. Semi-structured interviews were conducted with 19 Fourteen narratives about obtained. Three main categories emerged from process content analyzes: (1) related factors; (2) perceptions (3) growing. Death by had considerable these Several participants described intrusive thoughts images consequence attending death scene. Regarding perception impact, there seemed exist variation between levels exposed affected suicide. There specific features that which namely scene, encountering family or other survivors, managing feeling responsibility not arriving time rescue. also indicated some negative effects their practice, such doubts competence, training limits liability. difficult experience, marked intense impact. Nevertheless, it have positive effects, growth awareness phenomenon. Specific appears fundamental promote overcome

参考文章(41)
Patients' suicides: frequency and impact on psychiatrists American Journal of Psychiatry. ,vol. 145, pp. 224- 228 ,(1988) , 10.1176/AJP.145.2.224
P Corcoran, P Halligan, The impact of patient suicide on rural general practitioners. British Journal of General Practice. ,vol. 51, pp. 295- 296 ,(2001)
Inês Areal Rothes, Margarida Rangel Henriques, Renata Santos Correia, Suicídio de um paciente: a experiência de médicos e psicólogos portugueses Revista Portuguesa de Saúde Pública. ,vol. 31, pp. 168- 178 ,(2013) , 10.1016/J.RPSP.2013.05.002
Phillip M. Kleespies, Walter E. Penk, John P. Forsyth, The stress of patient suicidal behavior during clinical training: Incidence, impact, and recovery. Professional Psychology: Research and Practice. ,vol. 24, pp. 293- 303 ,(1993) , 10.1037/0735-7028.24.3.293
Kenneth P. Courtenay, John P. Stephens, The experience of patient suicide among trainees in psychiatry The Psychiatrist. ,vol. 25, pp. 51- 52 ,(2001) , 10.1192/PB.25.2.51
Virginia Braun, Victoria Clarke, Using thematic analysis in psychology Qualitative Research in Psychology. ,vol. 3, pp. 77- 101 ,(2006) , 10.1191/1478088706QP063OA
Claude M. Chemtob, Roger S. Hamada, Gordon Bauer, Rodney Y. Torigoe, Barry Kinney, Patient suicide: Frequency and impact on psychologists. Professional Psychology: Research and Practice. ,vol. 19, pp. 416- 420 ,(1988) , 10.1037/0735-7028.19.4.416
Guido Pieters, Véronique De Gucht, Gustaaf Joos, Elke De Heyn, Frequency and impact of patient suicide on psychiatric trainees European Psychiatry. ,vol. 18, pp. 345- 349 ,(2003) , 10.1016/J.EURPSY.2003.02.003
Jodi M. Jacobson, Laura Ting, Sara Sanders, Donna Harrington, Prevalence of and Reactions to Fatal and Nonfatal Client Suicidal Behavior: A National Study of Mental Health Social Workers Omega-journal of Death and Dying. ,vol. 49, pp. 237- 248 ,(2004) , 10.2190/HPKQ-T700-EPQL-58JQ
Wolfgang F. Dick, Anglo-American vs. Franco-German emergency medical services system. Prehospital and Disaster Medicine. ,vol. 18, pp. 29- 37 ,(2003) , 10.1017/S1049023X00000650